Table 1.
Type | Variable | Description | Chart review 2014–2016 | Organisational questionnaire 2016–2018 |
Clinicians’ questionnaire 2014–2017 |
Primary outcome | Quality of dementia follow-up | 10 ACOVE indicators: Cognitive testing, functional status, behavioural and psychological symptoms of dementia, weight, caregiver needs, driving status, home care needs, community service needs (eg, Alzheimer Society), absence of anticholinergic medication and management of dementia medications19 |
X | ||
Secondary outcomes | Continuity of primary care | Number of visits to the FMGs/FHTs; the number of notes, whether or not they were related to dementia, recorded in the charts by the FMG/FHT health professionals; the proportion of patients who have at least two visits to any clinician in the same FMG/FHT during the time period | X | ||
Medications management | Proportion of patients with dementia who are treated with dementia medication such as cholinesterase inhibitors or memantine; the proportion of new dementia medications prescribed or initiated; the proportion of new dementia medications initiated by family physician; the proportion of new dementia medications initiated by specialists; and the proportion of patients who are treated with antipsychotics during the period | X | |||
Explanatory variables | Organisational Best Practices for Dementia Score | See Henein et al.
23
Domains include: leadership within the interdisciplinary primary care clinic, financial support, support from cognition specialists, training, clinical information systems, coordination and continuity within the interdisciplinary primary care clinic, caregiver support and involvement, access to and coordination with home and community services, coordination with hospital |
X | ||
Index of Conformity to an Ideal Type of primary care setting | See Levesque et al.
24
Domains include: vision, structure, resources, practice |
X | |||
Clinician KAP Scores | See Arsenault-Lapierre et al.
26 27
Physicians’ and nurses’ perceived competency and knowledge related to dementia; the physicians’ and nurses’ attitudes towards dementia; the physicians’ practices in terms of cognitive evaluation; the physicians’ attitude towards their collaboration with other FMGs/FHTs healthcare professionals; and the nurses’ satisfaction with the support from secondary and tertiary care services and the physicians’ and nurses’ attitudes towards the collCMs |
X | |||
Confounders | Patients’ characteristics | Age, sex, comorbidities (number of medications) | X | ||
FMGs/FHTs demographic information | Number of registered patients, public/private, proximity to memory clinic, university affiliation, rural/urban and socio-economic area based on the FMGs/FHTs postal code, percentage of older patients | X |
ACOVE, Assessing Care of Vulnerable Elders; collCMs, collaborative care models; FHT, Family Health Team; FMG, Family Medicine Group; KAP, knowledge, attitudes and practice.